Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.15343/0104-7809.202347e1452020P http://hdl.handle.net/1843/76650 https://orcid.org/0000-0002-4804-6556 https://orcid.org/0000-0002-6849-8349 https://orcid.org/0000-0001-6187-2011 https://orcid.org/0000-0001-6097-6994 |
Resumo: | Omeprazole is the most prescribed proton pump inhibitor in Brazil and is indicated for the treatment of diseases caused by gastroesophageal reflux, peptic ulcer, erosive esophagitis, eradication of Helicobacter pylori, Zollinger-Ellison syndrome, gastrinomas, gastritis, and hypersecretory disorders, as well as peptic ulcer prevention. The indiscriminate and unnecessary use, mainly by the elderly, is an important public health issue to be addressed. Despite the existence of indiscriminate use of omeprazole being known, there is a need to verify how this medication is prescribed in the context of the Unified Health System (UHS) in Brazil. In addition, it is believed that studies that aim to analyze the prescription of omeprazole in a pharmacoeconomic way can contribute to the review or implementation of guidelines and protocols involving the use of this drug. The objective of this study was to characterize and perform a pharmacoeconomic analysis of the use of omeprazole in a Primary Healthcare Centers (PHC) in Minas Gerais, Brazil. This is a descriptive study analyzing the prescriptions of 41 elderly patients treated in the period of April/May 2018 and the following variables were identified: age, sex, dose, indication, endoscopy, other medications in use, and cost of treatment. In the pharmacoeconomic analysis, the average cost of the amount of omeprazole prescribed per patient was calculated and whether or not endoscopy was performed was considered. In the studied population, 29 (70.3%) were female with a median age: 69 years. Only in 4 medical records (9.8%) was there indication for use, and 18 (43.9%) patients had been using omeprazole for more than two years and 7 (17.1%) for more than five years. Only 3 (7.3%) patients underwent endoscopy, and 371 months-worth of omeprazole were used, totaling a financial value of R$35,657.23. The findings suggest long-term prescriptions and no record of their indication on medical records. The cost related to prescriptions could be optimized by performing endoscopy and discontinuing its use when no indication is found. |
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Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do BrasilPharmacoeconomic analysis of the use of omeprazole by elderly patients in one of the primary healthcare centers in BrazilIdososOmeprazolPrescriçãoErros de medicaçãoFarmacoeconomiaIdosoOmeprazolPrescriçõesErros de medicaçãoFarmacoeconomiaOmeprazole is the most prescribed proton pump inhibitor in Brazil and is indicated for the treatment of diseases caused by gastroesophageal reflux, peptic ulcer, erosive esophagitis, eradication of Helicobacter pylori, Zollinger-Ellison syndrome, gastrinomas, gastritis, and hypersecretory disorders, as well as peptic ulcer prevention. The indiscriminate and unnecessary use, mainly by the elderly, is an important public health issue to be addressed. Despite the existence of indiscriminate use of omeprazole being known, there is a need to verify how this medication is prescribed in the context of the Unified Health System (UHS) in Brazil. In addition, it is believed that studies that aim to analyze the prescription of omeprazole in a pharmacoeconomic way can contribute to the review or implementation of guidelines and protocols involving the use of this drug. The objective of this study was to characterize and perform a pharmacoeconomic analysis of the use of omeprazole in a Primary Healthcare Centers (PHC) in Minas Gerais, Brazil. This is a descriptive study analyzing the prescriptions of 41 elderly patients treated in the period of April/May 2018 and the following variables were identified: age, sex, dose, indication, endoscopy, other medications in use, and cost of treatment. In the pharmacoeconomic analysis, the average cost of the amount of omeprazole prescribed per patient was calculated and whether or not endoscopy was performed was considered. In the studied population, 29 (70.3%) were female with a median age: 69 years. Only in 4 medical records (9.8%) was there indication for use, and 18 (43.9%) patients had been using omeprazole for more than two years and 7 (17.1%) for more than five years. Only 3 (7.3%) patients underwent endoscopy, and 371 months-worth of omeprazole were used, totaling a financial value of R$35,657.23. The findings suggest long-term prescriptions and no record of their indication on medical records. The cost related to prescriptions could be optimized by performing endoscopy and discontinuing its use when no indication is found.O omeprazol é inibidor de bomba de prótons mais prescrito no Brasil e é indicado para o tratamento de doenças por refluxos gastroesofágicos, úlcera péptica, esofagite erosiva, erradicação de Helicobacter pylori, síndrome de Zollinger-Ellison, gastrinomas, gastrite e distúrbios hipersecretores e prevenção de úlcera péptica. O uso indiscriminado e desnecessário, principalmente por idosos, é uma importante questão de saúde pública a ser tratada. Apesar de ser conhecida a existência do uso indiscriminado do omeprazol, identifica-se a necessidade de se verificar como ocorre a prescrição desse medicamento no contexto do Sistema Único de Saúde (SUS) do Brasil. Além disso, acredita-se que estudos que analisam de modo famacoeconômico a prescrição do omeprazol podem contribuir para a revisão ou implementação de diretrizes e protocolos que envolvam o uso desse medicamento. O objetivo foi caracterizar e realizar análise farmacoeconômica do uso do omeprazol em Unidade de Atenção Primária a Saúde (UAPS) em Minas Gerais, Brasil. Trata-se de estudo descritivo com análise das prescrições de 41 pacientes idosos atendidos no período de abril/maio de 2018 e foram identificadas as seguintes variáveis: idade, sexo, dose, indicação, realização de endoscopia, demais medicamentos em uso e custo do tratamento. Na análise farmacoeconômica realizou-se o cálculo do custo médio da quantidade de omeprazol prescrita por paciente e considerou-se a realização ou não de endoscopia. Na população estudada, 29 (70,3%) do sexo feminino com mediana de idade: 69 anos. Apenas em 4 prontuários (9,8%) havia indicação para uso e em 18 (43,9%) pacientes, a utilização era feita há mais de dois anos e em 7 (17,1%) a mais de cinco anos. Apenas 3 (7,3%) realizaram endoscopia e foram utilizados 371 meses totalizando um valor financeiro de R$35.657,23. Os achados sugerem prescrições em longo prazo e sem registro da indicação em prontuário. O custo referente às prescrições poderia ser otimizado com a realização de endoscopia e suspensão do uso, quando constatada ausência de indicação.Universidade Federal de Minas GeraisBrasilFARMACIA - FACULDADE DE FARMACIAUFMG2024-09-18T19:57:48Z2024-09-18T19:57:48Z2023info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlepdfapplication/pdfhttps://doi.org/10.15343/0104-7809.202347e1452020P1980-3990http://hdl.handle.net/1843/76650https://orcid.org/0000-0002-4804-6556https://orcid.org/0000-0002-6849-8349https://orcid.org/0000-0001-6187-2011https://orcid.org/0000-0001-6097-6994porO Mundo da SaúdeFlávia Cristina Moura GualbertoCamila Rafaela dos SantosCassia Rodrigues Lima FerreiraJosiane Moreira da Costainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2024-09-18T19:57:49Zoai:repositorio.ufmg.br:1843/76650Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2024-09-18T19:57:49Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil Pharmacoeconomic analysis of the use of omeprazole by elderly patients in one of the primary healthcare centers in Brazil |
title |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil |
spellingShingle |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil Flávia Cristina Moura Gualberto Idosos Omeprazol Prescrição Erros de medicação Farmacoeconomia Idoso Omeprazol Prescrições Erros de medicação Farmacoeconomia |
title_short |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil |
title_full |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil |
title_fullStr |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil |
title_full_unstemmed |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil |
title_sort |
Análise farmacoeconômica do uso de omeprazol por idosos em uma das unidades básicas de saúde do Brasil |
author |
Flávia Cristina Moura Gualberto |
author_facet |
Flávia Cristina Moura Gualberto Camila Rafaela dos Santos Cassia Rodrigues Lima Ferreira Josiane Moreira da Costa |
author_role |
author |
author2 |
Camila Rafaela dos Santos Cassia Rodrigues Lima Ferreira Josiane Moreira da Costa |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Flávia Cristina Moura Gualberto Camila Rafaela dos Santos Cassia Rodrigues Lima Ferreira Josiane Moreira da Costa |
dc.subject.por.fl_str_mv |
Idosos Omeprazol Prescrição Erros de medicação Farmacoeconomia Idoso Omeprazol Prescrições Erros de medicação Farmacoeconomia |
topic |
Idosos Omeprazol Prescrição Erros de medicação Farmacoeconomia Idoso Omeprazol Prescrições Erros de medicação Farmacoeconomia |
description |
Omeprazole is the most prescribed proton pump inhibitor in Brazil and is indicated for the treatment of diseases caused by gastroesophageal reflux, peptic ulcer, erosive esophagitis, eradication of Helicobacter pylori, Zollinger-Ellison syndrome, gastrinomas, gastritis, and hypersecretory disorders, as well as peptic ulcer prevention. The indiscriminate and unnecessary use, mainly by the elderly, is an important public health issue to be addressed. Despite the existence of indiscriminate use of omeprazole being known, there is a need to verify how this medication is prescribed in the context of the Unified Health System (UHS) in Brazil. In addition, it is believed that studies that aim to analyze the prescription of omeprazole in a pharmacoeconomic way can contribute to the review or implementation of guidelines and protocols involving the use of this drug. The objective of this study was to characterize and perform a pharmacoeconomic analysis of the use of omeprazole in a Primary Healthcare Centers (PHC) in Minas Gerais, Brazil. This is a descriptive study analyzing the prescriptions of 41 elderly patients treated in the period of April/May 2018 and the following variables were identified: age, sex, dose, indication, endoscopy, other medications in use, and cost of treatment. In the pharmacoeconomic analysis, the average cost of the amount of omeprazole prescribed per patient was calculated and whether or not endoscopy was performed was considered. In the studied population, 29 (70.3%) were female with a median age: 69 years. Only in 4 medical records (9.8%) was there indication for use, and 18 (43.9%) patients had been using omeprazole for more than two years and 7 (17.1%) for more than five years. Only 3 (7.3%) patients underwent endoscopy, and 371 months-worth of omeprazole were used, totaling a financial value of R$35,657.23. The findings suggest long-term prescriptions and no record of their indication on medical records. The cost related to prescriptions could be optimized by performing endoscopy and discontinuing its use when no indication is found. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023 2024-09-18T19:57:48Z 2024-09-18T19:57:48Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.15343/0104-7809.202347e1452020P 1980-3990 http://hdl.handle.net/1843/76650 https://orcid.org/0000-0002-4804-6556 https://orcid.org/0000-0002-6849-8349 https://orcid.org/0000-0001-6187-2011 https://orcid.org/0000-0001-6097-6994 |
url |
https://doi.org/10.15343/0104-7809.202347e1452020P http://hdl.handle.net/1843/76650 https://orcid.org/0000-0002-4804-6556 https://orcid.org/0000-0002-6849-8349 https://orcid.org/0000-0001-6187-2011 https://orcid.org/0000-0001-6097-6994 |
identifier_str_mv |
1980-3990 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
O Mundo da Saúde |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil FARMACIA - FACULDADE DE FARMACIA UFMG |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil FARMACIA - FACULDADE DE FARMACIA UFMG |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
instname_str |
Universidade Federal de Minas Gerais (UFMG) |
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UFMG |
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UFMG |
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Repositório Institucional da UFMG |
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Repositório Institucional da UFMG |
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Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
repositorio@ufmg.br |
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1816829751129538560 |